| Ageless Alpha Llc | |
|
1289 S Bridgegate Dr Gilbert AZ 85296-8227 | |
| (575) 574-7338 | |
| Not Available |
| Full Name | Ageless Alpha Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1289 S Bridgegate Dr, Gilbert, Arizona |
| Authorized Official Name and Position | Jesse Cisneros Jimenez (CEO) |
| Authorized Official Contact | 5755747338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ageless Alpha Llc 1289 S Bridgegate Dr Gilbert AZ 85296-8227 Ph: (575) 574-7338 | Ageless Alpha Llc 1289 S Bridgegate Dr Gilbert AZ 85296-8227 Ph: (575) 574-7338 |
| NPI Number | 1730878455 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 05/08/2023 |
| Medicare PECOS PAC ID | 5799141420 |
|---|---|
| Medicare Enrollment ID | O20230522002703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730878455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jesse Cisneros Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124745260 PECOS PAC ID: 6608232335 Enrollment ID: I20230601002851 |
Leaps And Bounds Therapy Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2710 E Arrowhead Trl, Gilbert, AZ 85297 Phone: 480-226-5497 | |
Elite Sports Therapy Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1184 N Gilbert Rd Ste 100, Gilbert, AZ 85234 Phone: 480-390-1962 | |
East Valley Serenity Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4001 E Baseline Rd Ste 104, Gilbert, AZ 85234 Phone: 480-770-4540 | |
Dba :all Ages Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W Guadalupe Rd Ste 200, Gilbert, AZ 85233 Phone: 480-558-7078 Fax: 480-558-7081 | |
Jdv Consulting Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2680 S Val Vista Dr Ste 101, Gilbert, AZ 85295 Phone: 480-428-5367 | |
Excel Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3303 S Lindsay Rd, #115, Gilbert, AZ 85296 Phone: 480-507-0604 Fax: 480-507-0592 | |
A-z Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 633 E Ray Rd # 128, Gilbert, AZ 85296 Phone: 480-497-3946 |